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Individual

RALPH C BECKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
115 8TH ST NE, CEDAR RAPIDS, IA 52401
(319) 363-3565
(319) 363-4001
Mailing address
115 8TH ST NE, CEDAR RAPIDS, IA 52401
(319) 363-3565
(319) 363-4001

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
22922
IA
207RP1001X
Pulmonary Disease Physician
Primary
22922
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0192393
IA
01
03561
BCBS
IA
Enumeration date
08/21/2006
Last updated
08/11/2011
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